Fleet Inspection Form
Inspector
*
Michael Coronado
Rudy Reyes
Kevin Meyers
Brian Arland
Brandon Miller
Sam Engle
Rob Erickson
Joey Rivera
Chris Campbell
Brian LaJiness
Isaiah Souders
Jack Arland
Tony Acosta
Other
Date of Inspection
-
Month
-
Day
Year
Date
Plate Number
*
Vehicle Mileage
*
Next Oil Change Due (miles)
*
Date of Last Service
*
Registration and insurance in vehicle and up to date
*
YES
NO
Are the following systems in good working order?
Tires
*
YES
NO
Air Conditioning/Heater
*
YES
NO
Oil Level
*
YES
NO
Seatbelts - check all for operation
*
YES
NO
Parking Brake
*
YES
NO
Gearshift - shifts smoothly without jumping or jerking
*
YES
NO
Mirrors - clean and operable
*
YES
NO
Door and Doorlocks
*
YES
NO
Steering - moves smoothly and easily
*
YES
NO
Headlights - low beam & hi beam
*
YES
NO
Brake Lights
*
YES
NO
Misc Lights - reverse, side, license plate, turn signals
*
YES
NO
Gauges and Dash Lights
*
YES
NO
Horn
*
YES
NO
Windshield Wipers & Fluid
*
YES
NO
Other
If you marked "NO" on any field, please describe the nature of the failure below
Front of Vehicle (landscape image only, wide shot)
*
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Rear of Vehicle (landscape image only, wide shot)
*
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Interior of Vehicle (landscape image only, wide shot)
*
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of
Submit
Should be Empty: